Re: Alimentary Limb - Please Answer!

[Guest guest]

Thanks for your reply, Tiger. I've decided I'm going to wait and

see what happens in the next month before I change anything.

I think the difference between you & me is that I've been enjoying

sweets since my first week out of surgery. I can't imagine not

wanting them, but I was kind of hoping this surgery would remove

that desire. But the one thing this surgery has done is create

satiety in me where it never existed before, so a couple cookies

does it for me, where as before surgery a whole bag of cookies

couldn't make me feel satisfied.

Thanks again.

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> Dear Sherry:

>

> I am also 250cm and it took me 19 months to lose all my weight

not one

> year. I also have to tell you I still don't own a scale and during

those 19

> months I only weighed myself once a month at the most and if I was

ever on a

> plateau I am not aware of it as I did not worry about it. I trusted

the

> surgery to do what Dr. Anthone said it would and it did.

> I ate lots of protein and never denied myself anything I wanted

including

> carbs but then as now I still crave protein first, I eat any

veggies I have a

> taste for, I eat potatoes or yams or rice of some kind for dinner

each night

> and I eat something sweet everyday although I had no taste for

sweets until I

> was around 19 months out except for regular Coke.

> Try to relax and give your body a chance to do what it is

supposed to do

> then if there is a problem then you can decide on your next step.

>

> Huggles,

> Tiger Lake

> Female

> 160 lbs. BMI 21.7

> 224lbs gone

> 165 1/2 inches gone

> 6' -- 53yrs young

> Dr. Anthone@USC So. Calif.

> Open DS

> Surgery 1/13/99 384lbs BMI 51.21

> Last Visit 4/20/99 315.5 BMI 42.07

> 7/19/99 274.8 BMI 36.64

> 9/03/99 259.3 BMI 34.54

> 10/04/99 252.4 BMI 34.02

> 10/25/99 231 BMI 32

> 12/17/99 217.5 BMI 30.2

> 01/19/00 211 BMI 28

> 02/20/00 195 BMI 26

> 04/08/00 182.9 BMI 25

> Hernia repair on 06/07/00 Dr. Anthone

> Tummy Tuck & Breast Reduction Dr. Downey

> 06/07/00 160 BMI 21.7

> 01/08/01 164.3 BMI 21.7

> Total Weight Loss! 224.1lbs GONE!

> Total inches lost 154.5

[Guest guest]

Thanks for your reply, Tiger. I've decided I'm going to wait and

see what happens in the next month before I change anything.

I think the difference between you & me is that I've been enjoying

sweets since my first week out of surgery. I can't imagine not

wanting them, but I was kind of hoping this surgery would remove

that desire. But the one thing this surgery has done is create

satiety in me where it never existed before, so a couple cookies

does it for me, where as before surgery a whole bag of cookies

couldn't make me feel satisfied.

Thanks again.

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> Dear Sherry:

>

> I am also 250cm and it took me 19 months to lose all my weight

not one

> year. I also have to tell you I still don't own a scale and during

those 19

> months I only weighed myself once a month at the most and if I was

ever on a

> plateau I am not aware of it as I did not worry about it. I trusted

the

> surgery to do what Dr. Anthone said it would and it did.

> I ate lots of protein and never denied myself anything I wanted

including

> carbs but then as now I still crave protein first, I eat any

veggies I have a

> taste for, I eat potatoes or yams or rice of some kind for dinner

each night

> and I eat something sweet everyday although I had no taste for

sweets until I

> was around 19 months out except for regular Coke.

> Try to relax and give your body a chance to do what it is

supposed to do

> then if there is a problem then you can decide on your next step.

>

> Huggles,

> Tiger Lake

> Female

> 160 lbs. BMI 21.7

> 224lbs gone

> 165 1/2 inches gone

> 6' -- 53yrs young

> Dr. Anthone@USC So. Calif.

> Open DS

> Surgery 1/13/99 384lbs BMI 51.21

> Last Visit 4/20/99 315.5 BMI 42.07

> 7/19/99 274.8 BMI 36.64

> 9/03/99 259.3 BMI 34.54

> 10/04/99 252.4 BMI 34.02

> 10/25/99 231 BMI 32

> 12/17/99 217.5 BMI 30.2

> 01/19/00 211 BMI 28

> 02/20/00 195 BMI 26

> 04/08/00 182.9 BMI 25

> Hernia repair on 06/07/00 Dr. Anthone

> Tummy Tuck & Breast Reduction Dr. Downey

> 06/07/00 160 BMI 21.7

> 01/08/01 164.3 BMI 21.7

> Total Weight Loss! 224.1lbs GONE!

> Total inches lost 154.5

[Guest guest]

Thanks for the support Steve. I'm a huge baby when it comes

to plateaus and I've read on here about people who have plateaued

for a month or more and I've thought, " That would drive me right

up the wall and out the window... "

Well, it seems to be my turn and I'm halfway up the wall &

headed for the window! LOL

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> >...

> >The reason I want a lot of people to answer about what their

> >alimentary length is is to see if I am correct in my theory,

> >or just in a state of plateau-induced wacko-ness.

> >...

> >

> >Yes, I think I'm a big baby when it comes to plateaus, but I

> >also think I have a good reason for asking the questions I'm

> >asking. I just " wanna know " !

> >

> >Thanks so much for your reply, I appreciate it!

>

> Sherry,

>

> You COULD be on a plateau. I was on a 2-week one that drove me

crazy

> back in June. I am one of those standard 250/100 lap patients.

>

> We are all going to make it!

>

> --Steve

> --

> Steve Goldstein, age 61

> Lap BPD/DS on May 2, 2001

> Dr. Elariny, INOVA Fairfax Hospital, Virginia

> Starting (05/02/01) BMI = 51

> BMI on 07/17 = 43 (-48 lb)

[Guest guest]

Thanks for the support Steve. I'm a huge baby when it comes

to plateaus and I've read on here about people who have plateaued

for a month or more and I've thought, " That would drive me right

up the wall and out the window... "

Well, it seems to be my turn and I'm halfway up the wall &

headed for the window! LOL

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> >...

> >The reason I want a lot of people to answer about what their

> >alimentary length is is to see if I am correct in my theory,

> >or just in a state of plateau-induced wacko-ness.

> >...

> >

> >Yes, I think I'm a big baby when it comes to plateaus, but I

> >also think I have a good reason for asking the questions I'm

> >asking. I just " wanna know " !

> >

> >Thanks so much for your reply, I appreciate it!

>

> Sherry,

>

> You COULD be on a plateau. I was on a 2-week one that drove me

crazy

> back in June. I am one of those standard 250/100 lap patients.

>

> We are all going to make it!

>

> --Steve

> --

> Steve Goldstein, age 61

> Lap BPD/DS on May 2, 2001

> Dr. Elariny, INOVA Fairfax Hospital, Virginia

> Starting (05/02/01) BMI = 51

> BMI on 07/17 = 43 (-48 lb)

[Guest guest]

There is a difference though between complex carbs and simple

sugars. As a rule the more processed something is the more simple

sugars there are in it. Simple sugars(fruit sugars, candy, cookies

cake) are still readily absorbed because they are only in small

chains whereas complex carbs(vegetables, whole grains) have

sugars/starches that form long chains. These chains are not fully

broken down and so cannot be absorbed.

> > > From: " Sherry " <shelters@f...>

> > > I'm so upset because when I eat a piece of bread and you eat

> > > a piece of bread, *I* absorb more calories from it than you

> > > do because my alimentary limb is longer

> >

> > HUH??? My understanding of the DS is that we are not switched for

> carbs

> > therefore the length of the alimentary limb would not matter.

> Sherry,

> > I'd love to hear more about where you are getting this

information.

> >

> > And to answer your question, my alimentary limb is 250. My common

> > channel is 75. I had my surgery in Nov of 2000 with Dr. K. I

started

> > out at 353 and am now at 224, just about 130 pound loss. At 6

months

> > out I had lost exactly 100 pounds--which is half the 200 I think

I

> need

> > to lose.

> >

> > Hope that helps and looking forward to hearing more about the

> > alimentary limb and carbs.

> >

> > H

> >

> > __________________________________________________

> >

[Guest guest]

There is a difference though between complex carbs and simple

sugars. As a rule the more processed something is the more simple

sugars there are in it. Simple sugars(fruit sugars, candy, cookies

cake) are still readily absorbed because they are only in small

chains whereas complex carbs(vegetables, whole grains) have

sugars/starches that form long chains. These chains are not fully

broken down and so cannot be absorbed.

> > > From: " Sherry " <shelters@f...>

> > > I'm so upset because when I eat a piece of bread and you eat

> > > a piece of bread, *I* absorb more calories from it than you

> > > do because my alimentary limb is longer

> >

> > HUH??? My understanding of the DS is that we are not switched for

> carbs

> > therefore the length of the alimentary limb would not matter.

> Sherry,

> > I'd love to hear more about where you are getting this

information.

> >

> > And to answer your question, my alimentary limb is 250. My common

> > channel is 75. I had my surgery in Nov of 2000 with Dr. K. I

started

> > out at 353 and am now at 224, just about 130 pound loss. At 6

months

> > out I had lost exactly 100 pounds--which is half the 200 I think

I

> need

> > to lose.

> >

> > Hope that helps and looking forward to hearing more about the

> > alimentary limb and carbs.

> >

> > H

> >

> > __________________________________________________

> >

[Guest guest]

This is kind of weird though.....my hubby can eat 3 donuts and lose a lb a

day......or candy or anything like that and has no problems losing. How

come it works for some and not for others?

Judie

Re: Alimentary Limb - Please Answer!

> There is a difference though between complex carbs and simple

> sugars. As a rule the more processed something is the more simple

> sugars there are in it. Simple sugars(fruit sugars, candy, cookies

> cake) are still readily absorbed because they are only in small

> chains whereas complex carbs(vegetables, whole grains) have

> sugars/starches that form long chains. These chains are not fully

> broken down and so cannot be absorbed.

>

>

>

>

> > > > From: " Sherry " <shelters@f...>

> > > > I'm so upset because when I eat a piece of bread and you eat

> > > > a piece of bread, *I* absorb more calories from it than you

> > > > do because my alimentary limb is longer

> > >

> > > HUH??? My understanding of the DS is that we are not switched for

> > carbs

> > > therefore the length of the alimentary limb would not matter.

> > Sherry,

> > > I'd love to hear more about where you are getting this

> information.

> > >

> > > And to answer your question, my alimentary limb is 250. My common

> > > channel is 75. I had my surgery in Nov of 2000 with Dr. K. I

> started

> > > out at 353 and am now at 224, just about 130 pound loss. At 6

> months

> > > out I had lost exactly 100 pounds--which is half the 200 I think

> I

> > need

> > > to lose.

> > >

> > > Hope that helps and looking forward to hearing more about the

> > > alimentary limb and carbs.

> > >

> > > H

> > >

> > > __________________________________________________

> > >

[Guest guest]

dammit! 'scuse my french, but I want whatever it is your

husband's got! LOL Meaning the donuts & candy & losing

weight thingie!

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> > > > > From: " Sherry " <shelters@f...>

> > > > > I'm so upset because when I eat a piece of bread and you eat

> > > > > a piece of bread, *I* absorb more calories from it than you

> > > > > do because my alimentary limb is longer

> > > >

> > > > HUH??? My understanding of the DS is that we are not switched

for

> > > carbs

> > > > therefore the length of the alimentary limb would not matter.

> > > Sherry,

> > > > I'd love to hear more about where you are getting this

> > information.

> > > >

> > > > And to answer your question, my alimentary limb is 250. My

common

> > > > channel is 75. I had my surgery in Nov of 2000 with Dr. K. I

> > started

> > > > out at 353 and am now at 224, just about 130 pound loss. At 6

> > months

> > > > out I had lost exactly 100 pounds--which is half the 200 I

think

> > I

> > > need

> > > > to lose.

> > > >

> > > > Hope that helps and looking forward to hearing more about the

> > > > alimentary limb and carbs.

> > > >

> > > > H

> > > >

> > > > __________________________________________________

> > > >

[Guest guest]

-

I don't know why that is - I'm only sending them once!

If you go to the website and view the messages, you will see

that only one of each has shown up from me.

I don't know why you're getting multiples in your mailbox!

-Sherry (Lake Marcel, WA)

BPD/DS Feb. 2, 2001

self-pay

5'5 " / 315 pounds / 33 years old

Lost 9 pounds in pre-op weight loss efforts

Have lost 96 pounds since surgery!

Total of 105 pounds gone forEVER!

http://www.fluffynet.com/wls/

> Sherry

> I am getting many many copies of your post but not extras of posts

sent by

> others.

>

> HELP!!

>

> in Seattle

>

> ----- Original Message -----

> From: " Sherry " <shelters@f...>

>

> > -

> >

> > The alimentary limb is where we absorb our carbs and it is

> > shortened. That part I'm sure about. I asked recently and

> > it was confirmed that we only absorb about 50% of the complex

> > carbs we eat, thanks to the surgery.

[Guest guest]

Sherry

I am getting many many copies of your post but not extras of posts sent by

others.

HELP!!

in Seattle

----- Original Message -----

> -

>

> The alimentary limb is where we absorb our carbs and it is

> shortened. That part I'm sure about. I asked recently and

> it was confirmed that we only absorb about 50% of the complex

> carbs we eat, thanks to the surgery.

[Guest guest]

Sherry,

Weight loss does not go down in a straight line. While the average

value of weight loss at 6 months may be 50%, there is an expected

variation of +/- 10%. That means that your weight loss of 96 lbs is

still well within the " normal " range. Long term you should loose

about 70% of your excess weight. You might not get to be model thin,

but you will be healthy, and that is what really counts.

Hull

> Thanks. The reason I'm worried about it is because someone else

> who had the same surgeon/surgery problems I did is having trouble

> losing. Her common channel is 100cm and her alimentary is 250,

> and she went to Dr. Welker who told her they BOTH need to be

> shortened in a revision. And had she had the Dr. she wanted, they

> would have both been shorter to begin with.

>

> The other reason I'm upset is because my weight loss is not where

> it should be, even though it has been " not bad " up til now. The

> " milemarker " indication is that one should have lost have of what

> expects to lose from this surgery by the 6 month mark....

>

> Well, I started at 411 (after losing 9 pounds in pre-op weight

> loss efforts). My *very conservative* goal weight is 180 pounds

> because I figure I will have about 30 pounds of excess skin to

> be removed & I am 5'5 " tall. Seems like a very reasonable goal

> weight to me...

>

> So 411 - 180 = 231 Thus 231 is what I should be able to reasonably

> expect to lose from this surgery. Half of that is 115.5. I'm at

> 315 right now, which means I've lost 96 pounds since surgery.

>

> So to lose half the weight I expect to by 6 months out, that means

> I need to lose 19.5 pounds by August 2nd. I know there is no way

> that is going to happen. Especially since I haven't lost a pound

> since July 6th.

>

> The alimentary limb is where carbs are absorbed, from what I

> understand, and I am more of a carb person than a " fats " person.

> I feel that if my alimentary limb were shorter (as apparently

> it would have been if I'd had the surgeon I picked) that my

> weight loss would be on target, instead of lagging some, as it

> seems to be doing.

>

> The reason I want a lot of people to answer about what their

> alimentary length is is to see if I am correct in my theory,

> or just in a state of plateau-induced wacko-ness.

>

> I am trying to increase my protein intake and " watch " my carbs

> a little better, but I fear denying myself too much of anything

> or I will just get right back into the " diet mentality " and

> wind up suffering in the long run physically, physiologically,

> mentally & emotionally.

>

> Yes, I think I'm a big baby when it comes to plateaus, but I

> also think I have a good reason for asking the questions I'm

> asking. I just " wanna know " !

>

> Thanks so much for your reply, I appreciate it!

>

> -Sherry (Lake Marcel, WA)

> BPD/DS Feb. 2, 2001

> self-pay

> 5'5 " / 315 pounds / 33 years old

> Lost 9 pounds in pre-op weight loss efforts

> Have lost 96 pounds since surgery!

> Total of 105 pounds gone forEVER!

> http://www.fluffynet.com/wls/

>

>

[Guest guest]

Sherry,

With a 250cm alimentary limb you will absorb roughly 60% of your

carbs. You will absorb about 30-40% of your fat intake.

Hull

> > >

> > > Sherry, I'm sorry I didn't answer before. My total intestinal

> > > length was 675cm. My alimentary tract was 250cm, of which 100cm

> > > was common channel. The remaining 325cm is the biliary limb.

> >

> > Oops -- I should clarify. My total intestinal length was 675cm.

My

> > alimentary tract is comprised of a 250cm food tract and a 100cm

> > common tract. The remaining 325cm is the biliary tract.

> >

> >

[Guest guest]

AJ & Sherry,

If you are a Carb eater then you put the doctor in a catch 22. Dr.

Scopinaro makes the alimentary limbs of patients in Sourthern Italy

300cm instead of 250cm, because carb eaters are at a much higher risk

of protien malnutrition. In Northern Italy he uses 200cm for the

alimentary limb because they eat much more protien (meat, fish etc).

Shortening the common limb will have little impact on carb

absorption. Changing the alimentary limb will reduce both carb and

protien absorption. There is no way to reduce carb. absorption

without reducing protien absorption. So if you go with a shorter

alimentary limb (like 200cm) you will be at high risk of protien

malnutrition. You will probably have to drink protien shakes and may

have to be hospitalized once or twice. Not my idea of fun.

And all this will only make maybe 10-15 lbs difference in the end. It

is not worth it in my opinion. You should do this surgery to be

healthy, not skinny.

Hull

> >>

> >> >Ok, I'm very upset right now. Mainly at the situation that put

> >> >me here with the Surgeon scandal that happened the day of my

> >surgery,

> >> >but also because it seems people on here can't stop fighting

long

> >> >enough to answer my question.

> >> >

> >> >Some of you answered with " you've lost 105 pounds and that is

> >great;

> >> >just remember to get your protein first, vegetables second and

> >> >avoid carbs " . Now, I know your hearts were definitely in the

> >> >right place, but that is seriously not what I asked and I REALLY

> >> >need to know.

> >> >

> >> >PLEASE, how long is your alimentary limb?? I would especially

> >> >like to know this from Dr. Welker's patients. Also, how long

> >> >is it before they shorten it in surgery, if anyone knows??

> >> >

> >> >I'm so upset because when I eat a piece of bread and you eat

> >> >a piece of bread, *I* absorb more calories from it than you

> >> >do because my alimentary limb is longer because of my surgeon

> >> >being snatched out from under me (without my knowledge) on the

> >> >day of surgery!

> >> >

> >> >If I could eat all protein & vegetables and avoid carbs, I

> >> >wouldn't have needed this surgery in the first place. Carbs

> >> >are absorbed in the alimentary limb and to find out that mine

> >> >is longer than it should be is upsetting.

> >> >

> >> >I need to know how long most of them are made these days. It

> >> >would be comforting to hear of someone who started at my

> >> >weight (420) who made it down to goal with a 250cm alimentary

> >> >limb. But I don't think that's gonna happen. I think I

> >> >need a revision and that's INFURIATING. And I don't use that

> >> >word lightly.

> >> >

> >> >Please don't take offense to anything in this post. It's not

> >> >meant to inflame. I'm just trying to express how angry and

> >> >upset I am and that I *need* answers, please!!

> >> >

> >> >-Sherry (Lake Marcel, WA)

> >> >BPD/DS Feb. 2, 2001

> >> >self-pay

> >> >5'5 " / 315 pounds / 33 years old

> >> >Lost 9 pounds in pre-op weight loss efforts

> >> >Have lost 96 pounds since surgery!

> >> >Total of 105 pounds gone forEVER!

> >> >http://www.fluffynet.com/wls/

> >> >

> >> >

> >> >----------------------------------------------------------------

---

> >---

> >> >

[Guest guest]

Loree,

I think you are confusing the alimentary limb length with the common

libm length. 75cm is probably your common limb length.

Hull

>

> I had my surgery on May 11th, my alimentary limb is

> 75cm, My surgeon was Dr.Keshishian, he is wonderful. I

> am a little over 2 months post op and have lost 57

> pounds, but it seems to be slowing, and it is

> frustrating, but I am happy that it is going even if

> it seems slow.. A 250cm sounds long to me and you may

> not lose to quickly, and you may have to work harder,

> I dont blame you for being upset, I know i would be..

> food is no longer a issue with me, I can take it or

> leave it, I now eat to live rather than live to eat..

> loree

>

>

> __________________________________________________

>

[Guest guest]

I have no trouble eating meat...Unless I have trouble keeping it down I dont

think it will be an issue. I just know that I am also very inclined to eat

pasta and rice so I guess as long as I stick to the rule of my protein first I

should do fine.

AJ

chull1@... wrote:

>AJ & Sherry,

>

>If you are a Carb eater then you put the doctor in a catch 22. Dr.

>Scopinaro makes the alimentary limbs of patients in Sourthern Italy

>300cm instead of 250cm, because carb eaters are at a much higher risk

>of protien malnutrition. In Northern Italy he uses 200cm for the

>alimentary limb because they eat much more protien (meat, fish etc).

>

>Shortening the common limb will have little impact on carb

>absorption. Changing the alimentary limb will reduce both carb and

>protien absorption. There is no way to reduce carb. absorption

>without reducing protien absorption. So if you go with a shorter

>alimentary limb (like 200cm) you will be at high risk of protien

>malnutrition. You will probably have to drink protien shakes and may

>have to be hospitalized once or twice. Not my idea of fun.

>

>And all this will only make maybe 10-15 lbs difference in the end. It

>is not worth it in my opinion. You should do this surgery to be

>healthy, not skinny.

>

>Hull

>

>

>> >>

>> >> >Ok, I'm very upset right now. Mainly at the situation that put

>> >> >me here with the Surgeon scandal that happened the day of my

>> >surgery,

>> >> >but also because it seems people on here can't stop fighting

>long

>> >> >enough to answer my question.

>> >> >

>> >> >Some of you answered with " you've lost 105 pounds and that is

>> >great;

>> >> >just remember to get your protein first, vegetables second and

>> >> >avoid carbs " . Now, I know your hearts were definitely in the

>> >> >right place, but that is seriously not what I asked and I REALLY

>> >> >need to know.

>> >> >

>> >> >PLEASE, how long is your alimentary limb?? I would especially

>> >> >like to know this from Dr. Welker's patients. Also, how long

>> >> >is it before they shorten it in surgery, if anyone knows??

>> >> >

>> >> >I'm so upset because when I eat a piece of bread and you eat

>> >> >a piece of bread, *I* absorb more calories from it than you

>> >> >do because my alimentary limb is longer because of my surgeon

>> >> >being snatched out from under me (without my knowledge) on the

>> >> >day of surgery!

>> >> >

>> >> >If I could eat all protein & vegetables and avoid carbs, I

>> >> >wouldn't have needed this surgery in the first place. Carbs

>> >> >are absorbed in the alimentary limb and to find out that mine

>> >> >is longer than it should be is upsetting.

>> >> >

>> >> >I need to know how long most of them are made these days. It

>> >> >would be comforting to hear of someone who started at my

>> >> >weight (420) who made it down to goal with a 250cm alimentary

>> >> >limb. But I don't think that's gonna happen. I think I

>> >> >need a revision and that's INFURIATING. And I don't use that

>> >> >word lightly.

>> >> >

>> >> >Please don't take offense to anything in this post. It's not

>> >> >meant to inflame. I'm just trying to express how angry and

>> >> >upset I am and that I *need* answers, please!!

>> >> >

>> >> >-Sherry (Lake Marcel, WA)

>> >> >BPD/DS Feb. 2, 2001

>> >> >self-pay

>> >> >5'5 " / 315 pounds / 33 years old

>> >> >Lost 9 pounds in pre-op weight loss efforts

>> >> >Have lost 96 pounds since surgery!

>> >> >Total of 105 pounds gone forEVER!

>> >> >http://www.fluffynet.com/wls/

>> >> >

>> >> >

>> >> >----------------------------------------------------------------

>---

>> >---

>> >> >

[Guest guest]

AJ,

Dont forget that after surgery your tastes might change and you might not

care for pasta and rice. I used to love chinese food and fried rice but now

could care less for it.....same with the pasta! I have them occasionally

but nothing like I used to! I went thru a period of time where I hated

protein and couldnt stand the thought that I had to eat this stuff for the

rest of my life but I got over that and now crave proteins! Its weird, but

nice!

Judie

RE: Re: Alimentary Limb - Please Answer!

> I have no trouble eating meat...Unless I have trouble keeping it down I

dont think it will be an issue. I just know that I am also very inclined to

eat pasta and rice so I guess as long as I stick to the rule of my protein

first I should do fine.

>

> AJ

>

> chull1@... wrote:

>

> >AJ & Sherry,

> >

> >If you are a Carb eater then you put the doctor in a catch 22. Dr.

> >Scopinaro makes the alimentary limbs of patients in Sourthern Italy

> >300cm instead of 250cm, because carb eaters are at a much higher risk

> >of protien malnutrition. In Northern Italy he uses 200cm for the

> >alimentary limb because they eat much more protien (meat, fish etc).

> >

> >Shortening the common limb will have little impact on carb

> >absorption. Changing the alimentary limb will reduce both carb and

> >protien absorption. There is no way to reduce carb. absorption

> >without reducing protien absorption. So if you go with a shorter

> >alimentary limb (like 200cm) you will be at high risk of protien

> >malnutrition. You will probably have to drink protien shakes and may

> >have to be hospitalized once or twice. Not my idea of fun.

> >

> >And all this will only make maybe 10-15 lbs difference in the end. It

> >is not worth it in my opinion. You should do this surgery to be

> >healthy, not skinny.

> >

> >Hull

> >

> >

> >> >>

> >> >> >Ok, I'm very upset right now. Mainly at the situation that put

> >> >> >me here with the Surgeon scandal that happened the day of my

> >> >surgery,

> >> >> >but also because it seems people on here can't stop fighting

> >long

> >> >> >enough to answer my question.

> >> >> >

> >> >> >Some of you answered with " you've lost 105 pounds and that is

> >> >great;

> >> >> >just remember to get your protein first, vegetables second and

> >> >> >avoid carbs " . Now, I know your hearts were definitely in the

> >> >> >right place, but that is seriously not what I asked and I REALLY

> >> >> >need to know.

> >> >> >

> >> >> >PLEASE, how long is your alimentary limb?? I would especially

> >> >> >like to know this from Dr. Welker's patients. Also, how long

> >> >> >is it before they shorten it in surgery, if anyone knows??

> >> >> >

> >> >> >I'm so upset because when I eat a piece of bread and you eat

> >> >> >a piece of bread, *I* absorb more calories from it than you

> >> >> >do because my alimentary limb is longer because of my surgeon

> >> >> >being snatched out from under me (without my knowledge) on the

> >> >> >day of surgery!

> >> >> >

> >> >> >If I could eat all protein & vegetables and avoid carbs, I

> >> >> >wouldn't have needed this surgery in the first place. Carbs

> >> >> >are absorbed in the alimentary limb and to find out that mine

> >> >> >is longer than it should be is upsetting.

> >> >> >

> >> >> >I need to know how long most of them are made these days. It

> >> >> >would be comforting to hear of someone who started at my

> >> >> >weight (420) who made it down to goal with a 250cm alimentary

> >> >> >limb. But I don't think that's gonna happen. I think I

> >> >> >need a revision and that's INFURIATING. And I don't use that

> >> >> >word lightly.

> >> >> >

> >> >> >Please don't take offense to anything in this post. It's not

> >> >> >meant to inflame. I'm just trying to express how angry and

> >> >> >upset I am and that I *need* answers, please!!

> >> >> >

> >> >> >-Sherry (Lake Marcel, WA)

> >> >> >BPD/DS Feb. 2, 2001

> >> >> >self-pay

> >> >> >5'5 " / 315 pounds / 33 years old

> >> >> >Lost 9 pounds in pre-op weight loss efforts

> >> >> >Have lost 96 pounds since surgery!

> >> >> >Total of 105 pounds gone forEVER!

> >> >> >http://www.fluffynet.com/wls/

> >> >> >

> >> >> >

> >> >> >----------------------------------------------------------------

> >---

> >> >---

> >> >> >

[Guest guest]

At 1:20 PM -0700 7/19/01, Judie Hensel wrote:

>AJ,

>Dont forget that after surgery your tastes might change and you might not

>care for pasta and rice. I used to love chinese food and fried rice but now

>could care less for it . . .

Poor baby!!! How can one live without Chinese food cravings? Get

thee to a wok!

--Steve

--

[Guest guest]

At 1:20 PM -0700 7/19/01, Judie Hensel wrote:

>AJ,

>Dont forget that after surgery your tastes might change and you might not

>care for pasta and rice. I used to love chinese food and fried rice but now

>could care less for it . . .

Poor baby!!! How can one live without Chinese food cravings? Get

thee to a wok!

--Steve

--

[Guest guest]

Thats true....

I leave in 2 days!!!!!!!!!!!!!!!!

AJ

Getting that sick excited nausaous feeling...LOL

" Judie Hensel " wrote:

>AJ,

>Dont forget that after surgery your tastes might change and you might not

>care for pasta and rice. I used to love chinese food and fried rice but now

>could care less for it.....same with the pasta! I have them occasionally

>but nothing like I used to! I went thru a period of time where I hated

>protein and couldnt stand the thought that I had to eat this stuff for the

>rest of my life but I got over that and now crave proteins! Its weird, but

>nice!

>

>Judie

>

>

> RE: Re: Alimentary Limb - Please Answer!

>

>

>> I have no trouble eating meat...Unless I have trouble keeping it down I

>dont think it will be an issue. I just know that I am also very inclined to

>eat pasta and rice so I guess as long as I stick to the rule of my protein

>first I should do fine.

>>

>> AJ

>>

>> chull1@... wrote:

>>

>> >AJ & Sherry,

>> >

>> >If you are a Carb eater then you put the doctor in a catch 22. Dr.

>> >Scopinaro makes the alimentary limbs of patients in Sourthern Italy

>> >300cm instead of 250cm, because carb eaters are at a much higher risk

>> >of protien malnutrition. In Northern Italy he uses 200cm for the

>> >alimentary limb because they eat much more protien (meat, fish etc).

>> >

>> >Shortening the common limb will have little impact on carb

>> >absorption. Changing the alimentary limb will reduce both carb and

>> >protien absorption. There is no way to reduce carb. absorption

>> >without reducing protien absorption. So if you go with a shorter

>> >alimentary limb (like 200cm) you will be at high risk of protien

>> >malnutrition. You will probably have to drink protien shakes and may

>> >have to be hospitalized once or twice. Not my idea of fun.

>> >

>> >And all this will only make maybe 10-15 lbs difference in the end. It

>> >is not worth it in my opinion. You should do this surgery to be

>> >healthy, not skinny.

>> >

>> >Hull

>> >

>> >

>> >> >>

>> >> >> >Ok, I'm very upset right now. Mainly at the situation that put

>> >> >> >me here with the Surgeon scandal that happened the day of my

>> >> >surgery,

>> >> >> >but also because it seems people on here can't stop fighting

>> >long

>> >> >> >enough to answer my question.

>> >> >> >

>> >> >> >Some of you answered with " you've lost 105 pounds and that is

>> >> >great;

>> >> >> >just remember to get your protein first, vegetables second and

>> >> >> >avoid carbs " . Now, I know your hearts were definitely in the

>> >> >> >right place, but that is seriously not what I asked and I REALLY

>> >> >> >need to know.

>> >> >> >

>> >> >> >PLEASE, how long is your alimentary limb?? I would especially

>> >> >> >like to know this from Dr. Welker's patients. Also, how long

>> >> >> >is it before they shorten it in surgery, if anyone knows??

>> >> >> >

>> >> >> >I'm so upset because when I eat a piece of bread and you eat

>> >> >> >a piece of bread, *I* absorb more calories from it than you

>> >> >> >do because my alimentary limb is longer because of my surgeon

>> >> >> >being snatched out from under me (without my knowledge) on the

>> >> >> >day of surgery!

>> >> >> >

>> >> >> >If I could eat all protein & vegetables and avoid carbs, I

>> >> >> >wouldn't have needed this surgery in the first place. Carbs

>> >> >> >are absorbed in the alimentary limb and to find out that mine

>> >> >> >is longer than it should be is upsetting.

>> >> >> >

>> >> >> >I need to know how long most of them are made these days. It

>> >> >> >would be comforting to hear of someone who started at my

>> >> >> >weight (420) who made it down to goal with a 250cm alimentary

>> >> >> >limb. But I don't think that's gonna happen. I think I

>> >> >> >need a revision and that's INFURIATING. And I don't use that

>> >> >> >word lightly.

>> >> >> >

>> >> >> >Please don't take offense to anything in this post. It's not

>> >> >> >meant to inflame. I'm just trying to express how angry and

>> >> >> >upset I am and that I *need* answers, please!!

>> >> >> >

>> >> >> >-Sherry (Lake Marcel, WA)

>> >> >> >BPD/DS Feb. 2, 2001

>> >> >> >self-pay

>> >> >> >5'5 " / 315 pounds / 33 years old

>> >> >> >Lost 9 pounds in pre-op weight loss efforts

>> >> >> >Have lost 96 pounds since surgery!

>> >> >> >Total of 105 pounds gone forEVER!

>> >> >> >http://www.fluffynet.com/wls/

>> >> >> >

>> >> >> >

>> >> >> >----------------------------------------------------------------

>> >---

>> >> >---

>> >> >> >

[Guest guest]

Thats true....

I leave in 2 days!!!!!!!!!!!!!!!!

AJ

Getting that sick excited nausaous feeling...LOL

" Judie Hensel " wrote:

>AJ,

>Dont forget that after surgery your tastes might change and you might not

>care for pasta and rice. I used to love chinese food and fried rice but now

>could care less for it.....same with the pasta! I have them occasionally

>but nothing like I used to! I went thru a period of time where I hated

>protein and couldnt stand the thought that I had to eat this stuff for the

>rest of my life but I got over that and now crave proteins! Its weird, but

>nice!

>

>Judie

>

>

> RE: Re: Alimentary Limb - Please Answer!

>

>

>> I have no trouble eating meat...Unless I have trouble keeping it down I

>dont think it will be an issue. I just know that I am also very inclined to

>eat pasta and rice so I guess as long as I stick to the rule of my protein

>first I should do fine.

>>

>> AJ

>>

>> chull1@... wrote:

>>

>> >AJ & Sherry,

>> >

>> >If you are a Carb eater then you put the doctor in a catch 22. Dr.

>> >Scopinaro makes the alimentary limbs of patients in Sourthern Italy

>> >300cm instead of 250cm, because carb eaters are at a much higher risk

>> >of protien malnutrition. In Northern Italy he uses 200cm for the

>> >alimentary limb because they eat much more protien (meat, fish etc).

>> >

>> >Shortening the common limb will have little impact on carb

>> >absorption. Changing the alimentary limb will reduce both carb and

>> >protien absorption. There is no way to reduce carb. absorption

>> >without reducing protien absorption. So if you go with a shorter

>> >alimentary limb (like 200cm) you will be at high risk of protien

>> >malnutrition. You will probably have to drink protien shakes and may

>> >have to be hospitalized once or twice. Not my idea of fun.

>> >

>> >And all this will only make maybe 10-15 lbs difference in the end. It

>> >is not worth it in my opinion. You should do this surgery to be

>> >healthy, not skinny.

>> >

>> >Hull

>> >

>> >

>> >> >>

>> >> >> >Ok, I'm very upset right now. Mainly at the situation that put

>> >> >> >me here with the Surgeon scandal that happened the day of my

>> >> >surgery,

>> >> >> >but also because it seems people on here can't stop fighting

>> >long

>> >> >> >enough to answer my question.

>> >> >> >

>> >> >> >Some of you answered with " you've lost 105 pounds and that is

>> >> >great;

>> >> >> >just remember to get your protein first, vegetables second and

>> >> >> >avoid carbs " . Now, I know your hearts were definitely in the

>> >> >> >right place, but that is seriously not what I asked and I REALLY

>> >> >> >need to know.

>> >> >> >

>> >> >> >PLEASE, how long is your alimentary limb?? I would especially

>> >> >> >like to know this from Dr. Welker's patients. Also, how long

>> >> >> >is it before they shorten it in surgery, if anyone knows??

>> >> >> >

>> >> >> >I'm so upset because when I eat a piece of bread and you eat

>> >> >> >a piece of bread, *I* absorb more calories from it than you

>> >> >> >do because my alimentary limb is longer because of my surgeon

>> >> >> >being snatched out from under me (without my knowledge) on the

>> >> >> >day of surgery!

>> >> >> >

>> >> >> >If I could eat all protein & vegetables and avoid carbs, I

>> >> >> >wouldn't have needed this surgery in the first place. Carbs

>> >> >> >are absorbed in the alimentary limb and to find out that mine

>> >> >> >is longer than it should be is upsetting.

>> >> >> >

>> >> >> >I need to know how long most of them are made these days. It

>> >> >> >would be comforting to hear of someone who started at my

>> >> >> >weight (420) who made it down to goal with a 250cm alimentary

>> >> >> >limb. But I don't think that's gonna happen. I think I

>> >> >> >need a revision and that's INFURIATING. And I don't use that

>> >> >> >word lightly.

>> >> >> >

>> >> >> >Please don't take offense to anything in this post. It's not

>> >> >> >meant to inflame. I'm just trying to express how angry and

>> >> >> >upset I am and that I *need* answers, please!!

>> >> >> >

>> >> >> >-Sherry (Lake Marcel, WA)

>> >> >> >BPD/DS Feb. 2, 2001

>> >> >> >self-pay

>> >> >> >5'5 " / 315 pounds / 33 years old

>> >> >> >Lost 9 pounds in pre-op weight loss efforts

>> >> >> >Have lost 96 pounds since surgery!

>> >> >> >Total of 105 pounds gone forEVER!

>> >> >> >http://www.fluffynet.com/wls/

>> >> >> >

>> >> >> >

>> >> >> >----------------------------------------------------------------

>> >---

>> >> >---

>> >> >> >

[Guest guest]

Poor baby!!! How can one live without Chinese food cravings? Get

> thee to a wok!

>

> --Steve>>>>>>

I dont know, Steve, I just dont care for chinese anymore. Whats even worse

I hate ice cream and refuse to touch it! I used to eat ice cream every day

for years!

Judie

[Guest guest]

Poor baby!!! How can one live without Chinese food cravings? Get

> thee to a wok!

>

> --Steve>>>>>>

I dont know, Steve, I just dont care for chinese anymore. Whats even worse

I hate ice cream and refuse to touch it! I used to eat ice cream every day

for years!

Judie

[Guest guest]

Boy, you've got that right! 2 1/2 days home from the hospital and I had my

first meal out: egg drop soup and shrimp in lobster sauce (only a few

spoonsful, got enough left for quite a few more meals). Was that good! And

no ill side effects. So it's on to the next culinary adventure.

Marcia

> Re: Re: Alimentary Limb - Please Answer!

>

>

> At 1:20 PM -0700 7/19/01, Judie Hensel wrote:

> >AJ,

> >Dont forget that after surgery your tastes might change and you might not

> >care for pasta and rice. I used to love chinese food and fried

> rice but now

> >could care less for it . . .

>

> Poor baby!!! How can one live without Chinese food cravings? Get

> thee to a wok!

>

> --Steve

> --

>

> ----------------------------------------------------------------------

>

[Guest guest]

Sherry,

My understanding is that an alimentary limb of 250cm is certainly not long.

My stats are 250 alimentary limb and 50 cm common channel. The common

channel length is part of the alimentary limb as well.

Dawn--Chicago metro--south

Dr. Hess, Bowling Green, OH

BPD/DS

www.duodenalswitch.com

267 to 165 5'4 "

size 22 to size 10

have made size goal, weight goal may need to be adjusted.

no more high blood pressure, sore feet, or dieting!

[Guest guest]

In a message dated 07/18/2001 6:10:21 AM Central Daylight Time,

melaniemag@... writes:

<< You have lost 96 pounds in 5.5 months. It took me 8.5 months to reach

to -100 pound mark. Try not to stress! (I know it's hard!) But I bet

when you get near the 200lb. in your weight, you'll be amazed at the

sizes you're wearing and how much smaller people perceive you to be,

merely by virtue of having heavier bone mass or whatever it is that

makes us formerly MO people able to carry a lot more weight in a more

compact area than our never-been-MO friends. >>

Yes, we need to keep in mind that this procedure usually shows (or average

anyway) a loss of 80% of excess weight. Dr. Hess tells in his consult that

he is not doing surgery to produce " thin " people. In fact it makes him

nervous when people start to fall too close to a " thin " person. When I hit

200 pounds, I breathed a sigh of relief and decided that if this procedure

kept me " easily " under 200 pounds for the rest of my life, I would force

myself to be happy with it. I have gone quite a ways below that now. It is

a struggle to stay realistic and happy with our new bodies, but it is

important to remember where we came from to keep it in perspective. I am

barely out of the obese category, but would never be perceived at this point

as being " fat " . I have lost 76% of my excess weight and have now decided

what I have to work at is staying happy with it. Being unhappy with my

weight is what got me to diet my way up to 267 pounds to begin with.

Dawn--Chicago metro--south

Dr. Hess, Bowling Green, OH

BPD/DS

www.duodenalswitch.com

267 to 165 5'4 "

size 22 to size 10

have made size goal, weight goal may need to be adjusted.

no more high blood pressure, sore feet, or dieting!